Provider Demographics
NPI:1205917978
Name:ONWUDINJO, ADOLPHUS CHUKWUELUA (MD)
Entity type:Individual
Prefix:
First Name:ADOLPHUS
Middle Name:CHUKWUELUA
Last Name:ONWUDINJO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:145 ROUTE 46 W
Mailing Address - Street 2:SUITE 304
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-6830
Mailing Address - Country:US
Mailing Address - Phone:973-826-8283
Mailing Address - Fax:866-760-4568
Practice Address - Street 1:220 HAMBURG TPKE
Practice Address - Street 2:21
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2110
Practice Address - Country:US
Practice Address - Phone:973-790-8090
Practice Address - Fax:973-790-3198
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2010-11-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06867400207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1790731271OtherGRP NPI COMPREHENSIVE WOMEN'S HEALTHCARE
NJ8271607Medicaid
NJ3K5270OtherHEALTHNET
NJ1356533624OtherGRP NPI SURGAIDE 2, LLC
NJ01317062OtherAMERIGROUP MEDICAID HMO
NJ1942321070OtherGRP NPI SURGAIDE 1, LLC
NJ3K5270OtherHEALTHNET
NJ01317062OtherAMERIGROUP MEDICAID HMO